Representative Experience
- Led regulatory implementation for a Medicare Part D plan and provided ongoing counsel on Medicare Advantage and Prescription Drug Plan compliance.
- Represented payer in administrative services agreement negotiation with a Fortune 100 company offering highly customized self-funded health benefit plans.
- Counseled a new Program of All-Inclusive Care for the Elderly (PACE) Medicare/Medicaid plan on start-up regulatory issues and process development, and provided representation in establishing network of providers and suppliers.
- Trained independent sales agents marketing Medicare Managed Care and Prescription Drug Plan products on marketing compliance requirements.
- Negotiated agreement between payer and pharmacy benefit manager for Medicare Part D Prescription Drug Plan administration.
- Represented a start-up healthcare company offering a payment solution on regulatory compliance and development of contracts with local and national health care providers.
- Conducted compliance program review for Medicare Advantage Prescription Drug Plan.
